Stephanie Sue Lyons, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3825 Issued in SC

Practice address

2102 Otranto Blvd
North Charleston, SC 29406-9841

Phone

(843) 569-2225

Fax

(843) 863-1830

NPI assigned

Jan 5, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Larusso DC PA of Wellington

  dba Family Chiropractic Center of Wellington

  • Chiropractor
  • Wellington, FL
  • NPI 1750368593
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1083984231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 BORDER RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294459643",
            "telephone_number": "402-910-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 OTRANTO BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069841",
            "telephone_number": "843-569-2225",
            "fax_number": "843-863-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "STEPHANIE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1704",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna C Lybrand, RPH.
• Emmett Lydon, DO
• Sarah Lyne, DPT
• Kennedy Lyon
• Michael J Lyons, MD
• M2M Transport LLC
• Jacob David Macdonald, OD
• Rachael Macdonald, M.S. CCC-SLP
• Gaston G Machado, MD
• Debra Anne Mack, PA-C

• Chiropractor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.